摘要
目的探讨照顾者协同护理模式在喉癌患者术后康复中的价值。方法采用便利抽样法,选取2018年5月~2019年12月在我院耳鼻咽喉头颈外科收治的70例喉癌患者为研究对象。按照住院时间进行分组,以2018年5月~2019年2月住院的喉癌手术患者为对照组,2019年3月~2019年12月住院喉癌患者设为观察组,每组各35例。对照组给予常规护理,观察组患者在常规护理的基础上实施接受照顾者协同护理模式的健康教育方法。干预前及干预后3个月评估两组患者的焦虑抑郁、社会支持和生活质量水平,并进行效果评价。结果干预前,两组SAS、SDS、社会支持、生活质量评分比较,差异均无统计学意义(P>0.05);干预后3个月,观察组SAS评分为(46.82±5.83)分、SDS评分为(52.53±2.98)分,均低于对照组,差异有统计学意义(P<0.05);观察组社会支持得分为(44.32±3.59)分,生活质量得分为(108.43±17.74)分,均高于对照组,差异有统计学意义(P<0.05)。结论照顾者协同护理模式可以降低喉癌患者术后的焦虑抑郁,提高患者的社会支持水平,改善生活质量。
Objective To explore the value of caregiver cooperative nursing model in postoperative rehabilitation of patients with laryngeal carcinoma.Methods A total of 70 patients with laryngeal carcinoma who were treated in otorhinolaryngology head and neck surgery in our hospital from May 2018 to December 2019 were selected by the convenient sampling.According to the hospitalization time,the patients with laryngeal carcinoma hospitalized from May 2018 to February 2019 were taken as the control group(n=35),and the hospitalized patients with laryngeal carcinoma from March 2019 to December 2019 were set up as the observation group(n=35).The control group was given routine nursing,and the patients in the observation group were given caregiver cooperative nursing model.The anxiety and depression,social support and quality of life of the two groups were evaluated before and 3 months after intervention,and the effect was evaluated.Results There was no significant difference in SAS,SDS,social support and quality of life between the two groups before intervention(P>0.05).After 3 months of intervention,the SAS score and SDS score in the observation group were([46.82±5.83]points)and([52.53±2.98]points),respectively,which were significantly lower than those in the control group,and the differences were statistically significant(P<0.05).The scores of social support and quality of life in the observation group were([44.32±3.59]points)and([108.43±17.74]points),respectively,which were significantly higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion The cooperative nursing mode of caregivers can reduce the postoperative anxiety and depression of patients with laryngeal carcinoma and improve the level of social support and the quality of life of patients with laryngeal carcinoma.
作者
李丽莎
唐鸣
桂意华
余巧敏
LI Lisha;TANG Ming;GUI Yihua;YU Qiaomin(Department of Nursing,Ningbo Medical Center Lihuili Hospital,Ningbo315041,China;Department of Otolaryngology-Head and Neck Surgery,Ningbo Medical Center Lihuili Hospital,Ningbo315041,China)
出处
《中国现代医生》
2020年第36期178-181,187,共5页
China Modern Doctor
基金
浙江省宁波市医学科技计划项目(2017A50)。
关键词
照顾者
喉癌
焦虑
抑郁
社会支持
生活质量
Caregiver
Laryngeal carcinoma
Anxiety
Depression
Social support
Quality of life
